Journal of Dental Anesthesia and Pain Medicine

The Korean Dental Society of Anesthsiology (대한치과마취과학회)
권호 표지
DOI QR코드

DOI QR Code

Assessment of postoperative pain after single-visit root canal treatment using rotary and reciprocating file systems: an in vivo study

  • Shaik, Reshma Parveen (Department of Conservative Dentistry and Endodontics, Sibar Institute of Dental Sciences) ;
  • Chukka, Ram Sunil (Department of Conservative Dentistry and Endodontics, Sibar Institute of Dental Sciences) ;
  • Bandlapally, Anila (Department of Conservative Dentistry and Endodontics, Sibar Institute of Dental Sciences) ;
  • Vemuri, Sayesh (Department of Conservative Dentistry and Endodontics, Sibar Institute of Dental Sciences) ;
  • Bolla, Nagesh (Department of Conservative Dentistry and Endodontics, Sibar Institute of Dental Sciences) ;
  • Basam, Ram Chowdary (Department of Conservative Dentistry and Endodontics, Sibar Institute of Dental Sciences) ;
  • Tammineedi, Sravanthi (Department of Conservative Dentistry and Endodontics, Sibar Institute of Dental Sciences)
  • Received : 2022.03.14
  • Accepted : 2022.07.08
  • Published : 2022.08.01
Download PDF
⟨ Previous Next ⟩

Abstract

Background: Various instrument kinematics used in single-visit endodontics influence the occurrence of pain after endodontic therapy. This study aimed to evaluate the occurrence of pain after mechanical instrumentation with Hyflex EDM (HEDM) and WaveOne Gold (WOG) during single-visit endodontic therapy. Methods: Sixty patients diagnosed with asymptomatic irreversible pulpitis and normal apical tissues in mandibular premolar teeth were included in the study for single-visit root canal therapy. The patients were divided into two groups (n = 30) according to the rotary instrument used during root canal preparation (group A [HEDM] and group B [WOG]). Pain was evaluated after endodontic therapy at 8, 24, and 48 h intervals using the visual analog scale (VAS). Data obtained were analyzed using the chi-square test, independent t-test, MannWhitney U test, and Wilcoxon matched-pairs test. Results: Statistically significant differences were observed between the two groups (P < 0.001) at 8, 24, and 48 h, with WOG exhibiting less pain than HEDM files. Conclusion: Postoperative pain was lower in the WOG file system than in the HEDM file system after single-visit root canal therapy at 8, 24, and 48 h.

Keywords

References

  1. Nekoofar MH, Sheykhrezae MS, Meraji N, Jamee A, Shirvani A, Jamee J, et al. Comparison of the effect of root canal preparation by using WaveOne and ProTaper on postoperative pain: a randomized clinical trial. J Endod 2015; 41: 575-8. https://doi.org/10.1016/j.joen.2014.12.026
  2. Shahi S, Asghari V, Rahimi S, Lotfi M, Samiei M, Yavari H, et al. Postoperative pain after endodontic treatment of asymptomatic teeth using rotary instruments: a randomized clinical trial. Iran Endod J 2016; 11: 38-43.
  3. Shahi S, Mokhtari H, Rahimi S, Yavari HR, Narimani S, Abdolrahimi M, et al. Effect of premedication with ibuprofen and dexamethasone on success rate of inferior alveolar nerve block for teeth with asymptomatic irreversible pulpitis: a randomized clinical trial. J Endod 2013; 39: 160-2. https://doi.org/10.1016/j.joen.2012.10.011
  4. Pak JG, White SN. Pain prevalence and severity before, during, and after root canal treatment: a systematic review. J Endod 2011; 37: 429-38. https://doi.org/10.1016/j.joen.2010.12.016
  5. Harrington GW, Natkin E. Midtreatment flare-ups. Dent Clin North Am 1992; 36: 409-23. https://doi.org/10.1016/S0011-8532(22)02504-6
  6. Seltzer S, Naidorf IJ. Flare-ups in endodontics: I. Etiological factors. J Endod 2004; 30: 476-81. https://doi.org/10.1097/00004770-200407000-00005
  7. Cunningham CJ, Mullaney TP. Pain control in endodontics. Dent Clin North Am 1992; 36: 393-408. https://doi.org/10.1016/S0011-8532(22)02503-4
  8. Burklein S, Benten S, Schafer E. Quantitative evaluation of apically extruded debris with different single-file systems: Reciproc, F360 and OneShape versus Mtwo. Int Endod J 2014; 47: 405-9. https://doi.org/10.1111/iej.12161
  9. De-Deus G, Neves A, Silva EJ, Mendonca TA, Lourenco C, Calixto C, et al. Apically extruded dentin debris by reciprocating single-file and multi-file rotary system. Clin Oral Investig 2015; 19: 357-61. https://doi.org/10.1007/s00784-014-1267-5
  10. Gundogar M, Ozyurek T. Cyclic Fatigue Resistance of OneShape, HyFlex EDM, WaveOne Gold, and Reciproc Blue Nickel-titanium Instruments. J Endod 2017; 43: 1192-6. https://doi.org/10.1016/j.joen.2017.03.009
  11. Pedulla E, Lo Savio F, Boninelli S, Plotino G, Grande NM, La Rosa G, et al. Torsional and cyclic fatigue resistance of a new nickel-titanium instrument manufactured by electrical discharge machining. J Endod 2016; 42: 156-9. https://doi.org/10.1016/j.joen.2015.10.004
  12. Adiguzel M, Capar ID. Comparison of cyclic fatigue resistance of WaveOne and WaveOne Gold small, primary, and large instruments. J Endod 2017; 43: 623-7. https://doi.org/10.1016/j.joen.2016.11.021
  13. Hou XM, Su Z, Hou BX. Post endodontic pain following single-visit root canal preparation with rotary vs reciprocating instruments: a meta-analysis of randomized clinical trials. BMC Oral Health 2017; 17: 86. https://doi.org/10.1186/s12903-017-0355-8
  14. Sun C, Sun J, Tan M, Hu B, Gao X, Song J. Pain after root canal treatment with different instruments: a systematic review and meta-analysis. Oral Dis 2018; 24: 908-19. https://doi.org/10.1111/odi.12854
  15. Martins CM, De Souza Batista VE, Andolfatto Souza AC, Andrada AC, Mori GG, Gomes Filho JE. Reciprocating kinematics leads to lower incidences of postoperative pain than rotary kinematics after endodontic treatment: a systematic review and meta-analysis of randomized controlled trial. J Conserv Dent 2019; 22: 320-31. https://doi.org/10.4103/jcd.jcd_439_18
  16. Spohr AR, Sarkis-Onofre R, Pereira-Cenci T, Pappen FG, Morgental RD. A systematic review: effect of hand, rotary and reciprocating instrumentation on endodontic postoperative pain. Giornale Italiano di Endodonzia 2019; 33: 24-34.
  17. Montero J, Lorenzo B, Barrios R, Albaladejo A, Miron Canelo JA, Lopez-Valverde A. Patient-centered outcomes of root canal treatment: a cohort follow-up study. J Endod 2015; 41: 1456-61. https://doi.org/10.1016/j.joen.2015.06.003
  18. Kherlakian D, Cunha RS, Ehrhardt IC, Zuolo ML, Kishen A, da Silveira Bueno CE. Comparison of the incidence of postoperative pain after using 2 reciprocating systems and a continuous rotary system: a prospective randomized clinical trial. J Endod 2016; 42: 171-6. https://doi.org/10.1016/j.joen.2015.10.011
  19. Subbiya A, Cherkas PS, Vivekanandhan P, Geethapriya N, Malarvizhi D, Mitthra S. Effect of three different rotary instrumentation systems on postinstrumentation pain: a randomized clinical trial. J Conserv Dent 2017; 20: 467-73. https://doi.org/10.4103/JCD.JCD_350_16
  20. Su Y, Wang C, Ye L. Healing rate and post-obturation pain of single- versus multiple-visit endodontic treatment for infected root canals: a systematic review. J Endod 2011; 37: 125-32. https://doi.org/10.1016/j.joen.2010.09.005
  21. Vishwakarma S, Shenoy A. Comparative evaluation of postoperative pain after using open ended, closed ended endodontic needles and endoactivator during final root canal irrigation procedure: a randomised controlled trial. J Clin Diagn Res 2020; 14: ZC34-38.
  22. Ramamoorthi S, Nivedhitha MS, Divyanand MJ: Comparative evaluation of postoperative pain after using endodontic needle and EndoActivator during root canal irrigation: a randomised controlled trial. Aust Endod J 2015; 41: 78-87. https://doi.org/10.1111/aej.12076
  23. Alonso-Ezpeleta LO, Gasco-Garcia C, Castellanos-Cosano L, Martin-Gonzalez J, Lopez-Frias FJ, Segura-Egea JJ. Postoperative pain after one-visit root-canal treatment on teeth with vital pulps: 3 comparison of three different obturation techniques. Med Oral Patol Oral Cir Bucal 2012; 17: e721-7
  24. Saha SG, Gupta RK, Bhardwaj A, Misuriya A, Saha MK, Nirwan AS. Comparison of the incidence of postoperative pain after using a continuous rotary system, a reciprocating system, and a Self-Adjusting File system in single-visit endodontics: a prospective randomized clinical trial. J Conserv Dent 2018; 21: 333-8. https://doi.org/10.4103/JCD.JCD_336_17
  25. Ruddle CJ. Single-file shaping technique: achieving a gold medal result. Dent Today 2016; 35: 98, 100, 102-3.
  26. Alcalde MP, Duarte MAH, Bramante CM, de Vasconselos BC, Tanomaru-Filho M, Guerreiro-Tanomaru JM, et al. Cyclic fatigue and torsional strength of three different thermally treated reciprocating nickel-titanium instruments. Clin Oral Investig 2018; 22: 1865-71. https://doi.org/10.1007/s00784-017-2295-8
  27. Dincer AN, Guneser MB, Arslan D. Apical extrusion of debris during root canal preparation using a novel nickel-titanium file system: WaveOne gold. J Conserv Dent 2017; 20: 322-5. https://doi.org/10.4103/JCD.JCD_407_16
  28. Iacono F, Pirani C, Generali L, Bolelli G, Sassatelli P, Lusvarghi L et al. Structural analysis of HyFlex EDM instruments. Int Endod J 2017; 50: 303-13. https://doi.org/10.1111/iej.12620
  29. Alves Vde O. Endodontic flare-ups: a prospective study. Oral Surg Oral Med Oral Pathol Oral RadiolEndod 2010; 110: e68-72. https://doi.org/10.1016/j.tripleo.2010.05.014
  30. Oliveira PS, da Costa KNB, Carvalho CN, Ferreira MC. Impact of root canal preparation performed by ProTaper Next or Reciproc on the quality of life of patients: a randomized clinical trial. Int Endod J 2019; 52: 139-48. https://doi.org/10.1111/iej.12990